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Laser Vasectomy Reversal - Fact or Fiction |
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Laser vasectomy reversal has again become a topic of discussion in some circles. Many patients,
seeking the best possible chances of pregnancy through micro-surgical vasectomy reversal, have
inquired about the use of the laser. Couples seeking vasectomy reversal never cease to impress the
doctors as to their ability becoming knowledgeable about the small number of true micro-surgical
specialists and techniques involved in providing state-of-the-art micro-surgical vasectomy reversals. Over the past 15 years, the top micro-surgical researchers and clinicians have extensively researched and actually tested the concept of using laser and laser welding to find out if this would improve the results of a micro-surgical vasectomy reversal. The consensus of the world leaders from the centers of excellence is that the use of the laser has no place in microsurgical vasectomy reversal. The laser was first used for “tissue welding” by the vascular surgeons. The hope was to replace fine suture placement in difficult spots by melting the tissues together. The laser worked well in very select blood vessel surgery but could not replace surgeon placed suturing for most vascular surgeries. In fact, the institution that initially applied the technology of laser to microsurgical vasectomy reversal about 10 years ago comments today that the laser actually caused tissue destruction and blood vessel injury and reduced the chances of a successful vasectomy reversal. The damage from the laser was the exact opposite of what is important – an intact and healthy blood supply to the surface of the reversal site. One highly regarded researcher and leader in the field went so far as to call the use of laser “gimmicky”. He noted that the laser causes tissue destruction. Another well-respected microsurgeon noted, “The laser welds by destroying tissue right where you want healthy tissue and a good blood supply to promote healing. Our work yielded much poorer outcomes with laser compared with sutures.” A third said that if it truly offered a technical advantage, then all the senior micro-surgeons would have adopted the laser technology years ago. Rather, all the researchers, individually and collectively, realized that though it was a great idea, in reality the use of lasers did not turn out to be the improvement we had all hoped for. These decisions were based on many years of experimentation and research at the leading research institutions in the world. In other words, the laser was hoped to reduce the operating time of microsurgical vasectomy reversal by replacing suture placement, but clearly could not match the same success and outcomes of a skilled micro-surgeon skillfully placing two or more layers of correctly placed and tied microscopic sutures. To search for respected and proven micro-surgeons or centers dedicated to microsurgical vasectomy reversal, please link to the web site of the Society of Reproductive Surgeons, http://www.reprodsurgery.org This organization is the only fertility society that requires the review of an 18-month log of all micro-surgical fertility cases with outcomes, before a doctor can become a member.
Please visit our link page for more resources: Vasectomy Reversal Related Links |
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Laser Vasectomy Reversal